| NPI | 1700927654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: FL RN 2150732) |
| Additional Taxonomies | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: FL RN 2150732) |
| 225700000X Massage Therapist (Licence: FL MA 42976) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |